关节镜下清理辅助治疗旋后外旋型踝关节骨折的手术疗效

doi:10.3969/j.issn.2095-378X.2024.01.005

Abstract

Abstract: Objective To investigate the surgical efficacy of arthroscopic debridement assisted treatment for supination-external rotation ankle fractures. Methods A total of 52 patients with supination-external rotation ankle fractures admitted to the Qingyuan Hospital Affiliated to Guangzhou Medical University from January 2018 to January 2023 were retrospectively divided into group A （28 cases） and group B （24 cases） according to whether arthroscopic cleaning was used during surgery. Group A underwent arthroscopic assisted ankle joint cleaning after open reduction and internal fixation surgery, while group B underwent traditional open reduction and internal fixation surgery. The operative time and intraoperative blood loss were compared between group A and group B. At the postoperative 6th month, visual analogue scale (VAS） scores of ankle pain during walking, maximum ankle dorsiflexion range of motion, and Baird-Jackson ankle score were compared between group A and group B. Results The operative time in group A was （81.25±11.75） min, significantly longer than that in group B, （72.08±11.31） min （P<0.05）. The intraoperative blood loss in group A was （47.32±18.48） mL, more than that in group B, （42.70±17.25） mL, and the difference was not statistically significant （P>0.05）. At the postoperative 6th month, the VAS score for ankle pain during walking in group A （1.67±1.05） was lower than that in group B （2.62±1.31）, while the maximum ankle dorsiflexion range of motion in group A [（18.71±4.78）°] was larger than that in group B [（13.54±6.11）°], with a statistically significant difference （P<0.05）. The ankle joint function of group A was better than that of group B, with a statistical difference （P<0.05）. Conclusion Arthroscopic debridement at the time of open reduction and internal fixation in supination-external rotation ankle fractures may reduce postoperative ankle pain, increase ankle dorsiflexion range of motion, and improve postoperative ankle function, which is worth being recommended.

Key words: Ankle fracture, Arthroscope, Internal fixation

CLC Number:

R683.4

TAN Xiaobo, MO Shizan, LI Yi, LI Aoxiang, WEI Renqian, BAI Xiguang. Surgical efficacy of arthroscopic debridement assisted treatment for supination-external rotation ankle fractures[J]. Surgical Research and New Technique, 2024, 13(1): 23-26.

References

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Surgical efficacy of arthroscopic debridement assisted treatment for supination-external rotation ankle fractures

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